None listed
Conditions
Brief summary
This study aims to determine the effectiveness of a complementary technique to physical therapy, easy to implement in the health system; that it does not require a great cost of learning both by professionals and by patients or caregivers; a safe and low-cost tool to improve rehabilitation and functional recovery times through the use of an implicit motor imagery program. The study hypothesis would be the following: the work on the recognition of laterality in hemiparesic patients produces a statistically significant improvement in postural control and balance.
Interventions
An initial data collection will be carried out for each patient (posturography, Berg test; Barthel index; Time up and go test; ECVI-38 quality of life questionnaire).
For the posturographic analysis, the Satel PF8C posturograph will be used, three repetitions of the Romberg test with open eyes and stable surface will be performed for 60 seconds, from which the repetition data with the best score in the sweep area will be collected. The full version of the Berg test and the Time up and Go test
An initial data collection will be carried out for each patient (posturography, Berg test; Barthel index; Time up and go test; ECVI-38 quality of life questionnaire). For the posturographic analysis, the Satel PF8C posturograph will be used, three repetitions of the Romberg test with open eyes and stable surface will be performed for 60 seconds, from which the repetition data with the best score in the sweep area will be collected. The full version of the Berg test and the Time up and Go test will be administered to evaluate the postural control, static and dynamic balance of each subject, and the Barthel index to assess the level of activity of the subjects. In addition, ECVI-38 questionnaire will be delivered for each participant to complete. This evaluation will be performed by the principal investigator. Once the initial data is obtained, all participants will undergo 5 rehabilitstion sessions per week of forty minutes each, in which their own neurological rehabilitation techniques will be applied in order to restore the patient's previous functional level. These techniques were carried out by professionals trained in neurorehabilitation with proven experience of at least 3 years. The sessions will be held for a period of 4 weeks until 20 sessions are completed. EG: The experimental group will hold 3 sessions per week of use of the Recognise® Flashcards on the recognition of the left / right laterality in images of feet in different positions added to rehabilitation sessions. 3 series of 20 different images will be presented in which the subject will identify whether it is a left or right member. A total of 12 sessions will be held with the help of a physiotherapist to perform laterality training; between each series a minute of rest will be left to correct the task. During the 8 restorative sessions, only rehabilitation will be performed. All sessions will last 40 mimutes plus the time it takes for each individual to complete the task with Flascards. Four weeks after the start of the intervention, the same variables were evaluated to analyze possible differences both intragroups and intergroups. All these interventions will be carried out in the Rehabilitation Service of the Rey Juan Carlos University Hospital, in Móstoles, Spain. The material that will be used in the intervention will be the Recognize flashcards designed by the Neuro Orthopedic Institute (NOI group) and designed for “the recognition, discrimination and restoration between the right and left trial at the cortical level for patients suffering from chronic pain”. This group bases the application of this program on the knowledge that prolonged chronic pain over time causes plastic changes in areas of the brain related to body schema and movement.
Sponsors
Noelia Díaz López
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1) first stroke within the previous year; 2) over 18 years; 3) ability to maintain steady standing for 1 minute without supports; 4) sensorimotor disturbance that occurs with hemiparesis secondary to the stroke and alteration of the gait pattern.
Exclusion criteria
1) medical history of another neurological pathology other than stroke; 2) subjects with cognitive disorders that impede adherence to the intervention (score in Mini Cognitive Exam (MEC-35) greater or equal to 23) 3) subjects with significant alterations in language comprehension that impede adherence to the intervention (score in the auditory comprehension subtest of the Boston test below the 35th percentile); 4) subjects with comorbid pathology that prevented the performance of intensive rehabilitation; 5) subjects with impaired gait pattern prior to stroke; 6) subjects with visual disturbances that prevent the use of work material.
Outcome results
None listed